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Total contact casts: pressure reduction at ulcer sites and the effect on the contralateral foot.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 1997 Nov; Vol. 78 (11), pp. 1268-71. - Publication Year :
- 1997
-
Abstract
- Objective: To compare the effectiveness of total contact casts with a cast boot (TCCB), total contact casts with a cast heel (TCCH), and therapeutic XtraDepth shoes (XDS) to reduce ulcer site pressures and to determine if total contact casts increase contralateral pressures.<br />Design: Repeat measure design with 40 replications nested within each treatment for each patient.<br />Methods: Peak contralateral foot pressures and ulcer site pressures under the 1st metatarsal (1MET; n = 10), 2nd to 5th metatarsals (2-5MET; n = 10), and great toe (GT; n = 5) were compared using the Novel-Pedar system and three treatments: TCCB, TCCH, and XDS. Baseline pressures were established using canvas oxfords.<br />Results: There was no difference in pressure reduction with TCCH vs. TCCB for 1MET or GT ulcers, but TCCH reduced pressure better for 2-5MET ulcers (p < .001). Contralateral pressures were not elevated in either TCC group.<br />Conclusions: TCCH were superior to TCCB in reducing 2-5MET ulcer pressures and equivalent to TCCB for 1MET and GT ulcers. Contralateral pressures are not increased by TCC use.
Details
- Language :
- English
- ISSN :
- 0003-9993
- Volume :
- 78
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 9365359
- Full Text :
- https://doi.org/10.1016/s0003-9993(97)90342-7